儿科外科瘤学实践的基本知识和技能:APSA癌症委员会修改的德尔菲共识研究
Elisabeth T Tracy1, Abigail Engwall2, Erin G Brown3
1Division of Pediatric Surgery, UNC Children's Hospital, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. Lisa_tracy@post.harvard.edu.
Annals of surgical oncology
|May 24, 2025
概括
儿科外科瘤学需要专门的知识和技能,用于复杂的儿童癌症护理. 一个全国性的共识确定了治疗这些年轻患者的外科医生的基本能力和多学科方法.
科学领域:
- 儿科外科瘤学 儿科外科瘤学
- 提供癌症护理服务.
- 医疗教育和培训 医疗教育和培训
背景情况:
- 儿童癌症的治疗越来越复杂,需要专业的专业知识.
- 专门从事儿科外科瘤的专业实践对于照顾患有癌症的儿童的所有外科医生来说都是不可行的.
- 需要定义外科医生在这一领域的基本能力.
研究的目的:
- 为了达成国家共识,关键的知识,技能和机构设置,为外科医生照顾儿童癌症.
- 为儿童癌症患者与合格的外科医生相匹配提供最佳实践信息.
主要方法:
- 美国儿科外科协会 (APSA) 癌症委员会进行了一项修改后的Delphi研究.
- 一个专家小组在三个共识轮审查了候选人的陈述.
- 共识是由克伦巴赫的alpha> 0.8和> 80%的小组协议定义的.
主要成果:
- 177个陈述在8个领域达到了共识,包括固体瘤和转移.
- 证明了出色的内部一致性 (克朗巴赫的α 0.989).
- 重点是多学科的护理和对瘤特异性管理原则的知识.
结论:
- 这项研究建立了第一个关于儿科外科瘤学基本知识和技能的国家共识.
- 结果为优化癌症儿童护理提供了指导.
- 这些发现旨在促进适当的患者和外科医生的匹配,而不会造成障碍.
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